Total knee replacement patient goes home same day as surgery


WESTMORELAND — Apex Surgical Center, 5325 Route 233, reports it was the first ambulatory surgery center in New York to perform a same-day total knee replacement.

A same-day total joint replacement is defined as a patient recovering in the comfort of their home on the same day as the surgery.

Surgeon Andrew Wickline performed the first same-day total joint at Apex in December.

Wickline has spent the last several years developing and perfecting a same day total joint replacement program, utilizing the SwiftPath method, a system with protocols and strategies to help patients succeed with hip and knee replacement.“

“Total joint replacements have historically been performed in hospitals where the patient would traditionally stay one to two nights,” said Apex CEO Geoffrey Smith.

“However, in the last five years, less invasive surgical methods, better pain control, and a high degree of patient education and engagement have allowed total joint surgeons like Dr. Wickline and their care teams to offer patients the option to have the joint replacement in the morning and to go home the same day to recover in the comfort of their homes.”

Wickline is also planning his first same-day total hip replacement.

“Dr. Wickline has not only implemented nationally recognized SwiftPath methods, he has been instrumental in developing and perfecting many of the methods used today including patient self-directed physical therapy and a tourniquet-free total knee replacement,” said Smith.

“Patients are not the only ones benefiting from this new care model. The health system and insurance carriers are benefiting from a significant decrease in costs.”

Not all patients are candidates. Candidates for a same day total joint replacement must meet defined pre-operative surgical criteria that focus on both the health of the patient, and on social factors like the candidate having adequate support from a loved one at home. 

Apex Surgical Center and Wickline have worked for two years to reach this point.

“We anticipate this program growing rapidly in 2018, offering patients a cutting edge option for their total joint replacement,” Smith said.

Apex Surgical Center is also developing a spine surgery program.

He said, “We have already performed successful spine surgeries and will expand our capabilities to include more surgical options for patients needing spine care. Apex currently performs more than 3,600 surgeries and procedures annually, including orthopaedic, plastic, pain, urology and podiatry.”

Apex has more than 30 full- and part-time health care professionals.

“Our patient feedback on their surgical experience here at Apex has been overwhelmingly positive,” said Smith.

“We’re proud to provide continued access to a progressive, alternative surgical experience to the local health care community.” 


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